HomeMy WebLinkAbout1624 JAMES DR; ; CB131492; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
Plumbing/Mechanical/Electrical (PME) Permit
06-18-2013 Permit No: CB131492
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Reference #:
PC#:
Project Title:
Applicant:
1624 JAMES DR CBAD
PME
1562111200
MOORE RES-REPLACE WATER
Lot#: 0
HEATER-LIKE FOR LIKE-SAME LOCATION
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
06/18/2013
SKS
06/18/2013
06/18/2013
CALIFORNIA DELTA MECHANICAL
STE 155
MOORE REVOCABLE LIVING TRUST 04-25-05
6056 E BASELINE RD
MESA AZ. 85206
480-898-0007
Plumbing Fees
Electrical Fees
Mechanical Fees
Other PME Fees
TOTAL PERMIT FEES
Total Fees:
Inspector:
1624 JAMES DR
CARLSBAD CA 92008
$31.00
$0.00
$0.00
$64.00
$95.00
$95.00 Total Payments To Date: $95.00 Balance Due:
FINAL APPROVAL
Date: t · U ·/.1 Clearance:
$0.00
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collective~
referred to as "fees/exactions." You have 90 days from the date this permit was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required infonnation with the City Manager for
processing in accordance with Carlsbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capacity
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this project. NOR DOES IT APPLY to any
f i n f h. h v Tl E i r hi r whi f Ii . h I
City of Carlsbad ..
PlanCheckNo.W \ :>) L/9L 1. I 1635 Faraday Ave., Carlsbad, CA 92008 Est. Value 760-602-2717 / 2718 / 2719 ~
Fax: 760-502-8558 . -l Phm Ck. D1111oslt ..
Building Permit Application ~/\..,/ l(~I ,e v/1~ I
JOB ADDRESS SUITE/t/SPACE#/UNI ~ I ,PN
1624 James dr ---
CT/PROJECT# ILOT# 1PHASE# l#OFUNITS l#BEDROOMS # BATHROOMS I TENANT BUSINESS NAME I CONSTR. TYPE I occ. GROUP
--
DESCRiPTiON OF WORK: Include Square Feet of Affected Area(s)
Replace existing like for alike water heater
EXISTING USE I PROPOSED USE I GARAGE {SF) PATIOS (SF) I DECKS (SF) FIREPLACE IAIR CONDITIONING I FIRE SPRINKLERS
YES0, No[] YES □No □ YES□No□
CONTACT NAME (lfDflfeMotFomAp,,,loaot) California Delta Mechanical Inc. APPLICANT NAME Galina Pavlova
ADDRESS ADDRESS
6056 E Baseline Rd # 155 6056 E Baseline Rd # 155
CITY STATE ZIP CITY STATE ZIP
Mesa AZ. 85206 Mesa AZ. 85206
rPHONI:: 480-898-0007 I FAX 1-480-218-5645
PHONE
858-361-6495 IFAX 858-240-6677
L_
!EMAIL california@,deltamechanical.com
EMAIL galinap@,deltamechanical.com
i
PROPERTY OWNER NAME Douglas Moore CONTRACTOR BUS. NAME California Delta Mechanical Inc.
ADDRESS ADDRESS
1624 James dr 6056 E Baseline Rd 3 155
CITY STATE ZIP CITY STATE ZIP
Carlsbad CA 92008 Mesa AZ. 85206
PHONE I FAX PHONE I FAX 760-729-6802 480-898-0007
EMAIL EMAIL
ARCH/DESIGNER NAME & ADDRESS TSTATEUC. # STATE LIC.# TClASS I CITY ,us. uc.1214281 811114 c-36
Workers' Compensation Declaration: / llereby affirm under penalty of peljury one o1fhe following declarations:
ll] I have and will maintain a certificate of consent to self-Insure for 11.'0rkers' cornpensalion as provided by Section 3700 of the Labor Code, for the performance of the work for which this permit is iSsued.
[Z] I have and will maintain workers' compensation, as reQuired bv Sec~on 3700 1f tr.e Labor Code, for the performance of the work for which this permit is issued. My workers' compensation Insurance carrier and poliey
number are: lnsurar,ce Co Poliey No. 1697823 Expiration Date 07i111121l13
~section need not be compieted if the permit is for one hundred dollars ($100) or less. L{j Certificate of Exemption: I certify that in the performance of the 'NOrk for which lhiS permit iS issued, I shall not employ any person in any manner so as to become subj8CI to the Workers' Compensauon Laws of
California. WARNING: Failure to secure workers' compensation coverage Is unla,..:ful, and shan subject an employer to criminal penalties and civil fines up to one hundred t~ousa dollars (&100,000), in
addition to the cost of compensation, damages as provided for in Section 3706 ofth Labo code nterest and attorney's fees. '.// 1/ ~ CONTRACTOR SIGNATURE DATE 1/ 7
/ llereby afflnn that I am exempt from Contractor's License Law for the following reason·
□
□
D
I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's
License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements are not intended or offered for
sale. If, however, the building or improvement is sold within one year of completion, the owner-builder will have the burden of proving that he did not build or improve for the purpose of sale),
I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and ProfessiOns Code: The Contractor's License Law does not apply to an owner of
property who builds or improves thereon, and contracts for such projects with contractor(s) licensed pursuant to the Contractor's License Law).
I am exempt under Section ____ ,Business and Professions Code for this reason:
1. I personally plan to provide the major labor and matertals for construction of the proposed property improvement. OYes ONo
2. I (have/ have not) signed an application for a building permit for the proposed work.
3. I have contracted with the following person (firm) to provide the proposed construction (include name address I phone I contractors' license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the majOr work (Include name I address I phone I contractors' license number):
5. I will provide some of the work, but I have contracted (hired) the following persons to provide the 'NOrk indicated (include name I address I phone I type of work):
I ~ PROPERTY OWNER SIGNATURE DATE L ___ _
I certify that I have read the appWcatiOn and state that the above infonnation is corred: and thatthe infonnation on the plans Is accurate. I agree to compt, with all Clfy ordinances and State laws relatlngto building construction.
I hereby authorize representative of the Qty of Carlsboo to enter Up(X'\ the above mentioned propertyfcr insi;ecliOO puri:oses. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD
AGti.iNST ALL LIABILITIES JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN At-N WAY ACCRUE AGAINST SAlD CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT
OSHA: All OSHA permit is rtXju1red for ext.:avalions over 5'0' deep and dernol"!ion oroonstruction of structures over 3 stories in heighl
EXPIRATION: Every permit ISSued by the Building Official urder the proviSKlns of this Cod-3 shall expire by limi1ation and become null and '.tic! ~the building or work authorlZed bySOO'I 1)3(TT1il is rot oommenced within
181 days from ~e date of sud1 pem1t or rrtte l)u;~;ng or work authorized by sucl1 perm, ,s suspendeJ or abandored at any tirre atte,tt,, _ ;, comrrencedfor a period of ZSa;tion 1064.4 Unlorm Bu;~;ng Code)
R5APPLICANT'SSIGNAfURE ~~ DATE 6,2L?
Inspection List
Permit#: CB131492 Type: PME
Date Inspection Item ______ _
06/25/2013 25 Water HeaterNents
06/25/2013 25 Water HeaterNents
06/25/2013 29 Final Plumbing
06/25/2013 29 Final Plumbing
Tuesday, June 25, 2013
Inspector Act
RI
PB AP
RI
PB AP
MOORE RES-REPLACE WATER
HEATER-LIKE FOR LIKE-SAME LOCATIO
Comments
1-3 PM PLS
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